Bereavement Professional

  • 1.  Quality Indicator for Grief Support

    Posted 08-03-2016 01:30 PM

    Hello Everyone,

     

    I received the email below from our Chief of Quality and Compliance. We currently monitor that our calls are being made within the appropriate time frame according to our policy. I genuinely appreciate your thoughts and ideas. 

     

                 " I am interested in getting a more problem prone quality indicator for Grief Support.  I mentioned this is the Annual Review of the QAPI program* and now need to circle back around and get your views.  The current indicator is simple compliance with the Plan of Care.  I like that we are monitoring it, but for improvement, we need to think about something that is in need.

    Is it all perfect up there?  What would you like to work on & improve?

    If you could give it some thought and get back to me, I would appreciate it.

     

    *"The indicators from Grief Support and Social Services should be updated to reflect more high risk or problem prone areas."  "

     

    Kind regards,

     

    Lee Ann

     

     

    Lee Ann Morgan, LMFT

    Director of Grief Support

     

      HHLogo

     

    Hope Hospice Inc.

    6377 Clark Avenue Suite 100

    Dublin, CA 94568-3024

    Phone: (925) 829-8770   |  (510) 439-4917  |  1(800) HOSPICE

    Fax: (925) 829-0868  |   (510) 439-4918

    leeannm@hopehospice.com
    HopeHospice.com

     

    tweetfbytin

    CONFIDENTIALITY NOTICE: This electronic message transmission, including any attachments, contains information from Hope Hospice which may be confidential, privileged, or Protected Health Information (PHI) under the Health Insurance Portability and Accountability Act (HIPAA). The information is intended to be for the use of the individual or entity named above. If you are not the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this information is prohibited.

     

    If you receive this electronic transmission in error, please notify the sender immediately by a "reply to sender only" message and delete all electronic messages and shred all hard copies of the communication. Thank you for your compliance to this request.

     






    CONFIDENTIALITY NOTICE: This electronic message transmission, including any attachments, contains information from Hope Hospice which may be confidential, privileged, or Protected Health Information (PHI) under the Health Insurance Portability and Accountability Act (HIPAA). The information is intended to be for the use of the individual or entity named above. If you are not the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this information is prohibited.

    If you receive this electronic transmission in error, please notify the sender immediately by a "reply to sender only" message and delete all electronic messages and shred all hard copies of the communication. Thank you for your compliance to this request.


  • 2.  RE: Quality Indicator for Grief Support

    Posted 08-04-2016 10:03 AM

    We track from all communications in Bereavement POC both EMR and Volunteer paper POC documentations the moves in bereavement risk level. Bereavement Risk level indicates individualized changes in interventions of Bereaved POC.

    Our Bereavement Risk Levels are: Low

                                                             Low Complicated

                                                              Moderate

                                                              Moderate Complicated

                                                              High   Which for us is Suicidal / Homicidal Ideation only and starts our  Company Medical Assessment and interventions.

    Each Bereavement Risk Level is spelled out for our team as to what qualifies each level and what each intervention selections are according to the risk level. 
    We do this for both Hospice Patients bereaved and community referral bereaved.


    Original Message


  • 3.  RE: Quality Indicator for Grief Support

    Posted 08-08-2016 03:15 PM

    Hi All,

     

    Thank you for your thoughtful and detailed responses. It is very clear that you are all working hard to ensure that your clients are receiving consistent, quality contact and services that will meet their needs! Your ideas for a performance improvement project have stimulated some great ideas for me.

     

    Thank you again!!!

    Lee Ann

     

    Lee Ann Morgan, LMFT

    Director of Grief Support

     

      HHLogo

     

    Hope Hospice Inc.

    6377 Clark Avenue Suite 100

    Dublin, CA 94568-3024

    Phone: (925) 829-8770   |  (510) 439-4917  |  1(800) HOSPICE

    Fax: (925) 829-0868  |   (510) 439-4918

    leeannm@hopehospice.com
    HopeHospice.com

     

    tweetfbytin

    CONFIDENTIALITY NOTICE: This electronic message transmission, including any attachments, contains information from Hope Hospice which may be confidential, privileged, or Protected Health Information (PHI) under the Health Insurance Portability and Accountability Act (HIPAA). The information is intended to be for the use of the individual or entity named above. If you are not the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this information is prohibited.

     

    If you receive this electronic transmission in error, please notify the sender immediately by a "reply to sender only" message and delete all electronic messages and shred all hard copies of the communication. Thank you for your compliance to this request.

     






    CONFIDENTIALITY NOTICE: This electronic message transmission, including any attachments, contains information from Hope Hospice which may be confidential, privileged, or Protected Health Information (PHI) under the Health Insurance Portability and Accountability Act (HIPAA). The information is intended to be for the use of the individual or entity named above. If you are not the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this information is prohibited.

    If you receive this electronic transmission in error, please notify the sender immediately by a "reply to sender only" message and delete all electronic messages and shred all hard copies of the communication. Thank you for your compliance to this request.



    Original Message


  • 4.  RE: Quality Indicator for Grief Support

    Posted 08-04-2016 11:16 AM

    Hi Lee Ann,

    We put a new evaluation in service about 2 years ago for all of our group events; same eval for all (includes holiday seminar, camp, spouse death group, loved one's death group, school groups, etc.) The form has 5 questions plus relationship, age and gender.

    The QI measure that we use is a question rating the event: Fair, Good, Very Good, Excellent. The baseline was taken from all group events in FY '15 quarters 3 and 4. That combined average was 53.5% Excellent. The intervention to improve the score was: when the counselor passed out the evaluations, s/he would say, "We want you to give us an Excellent rating, and if you can't do that, we ask that you give us suggestions that would make the event Excellent for you." Our FY'16 combined average of all group events improved to 79.75%.

    This is an example of the simplest intervention possible with a big payback. We get some great suggestions and feedback for improvements as well. I keep the same running tote from the same evaluation for our monthly grief class, but separate the combined class scores from the combined support events scores since they are approached differently from a counselor facilitation aspect. The class scores showed an improvement from 58% to 75.5%.

    My suggestion is to keep it simple and related to something that you can influence easily. I hope this helps. 

    ------------------------------
    Terri C. Ray, MA, NCC, LPCS
    Director of Counseling Services
    Gaston Hospice
    Gastonia, NC 28054
    704-861-8405

    Original Message


  • 5.  RE: Quality Indicator for Grief Support

    Posted 08-04-2016 11:53 AM
    Hi,

    We recently looked at our survey results for an identified that satisfaction with our mailings were below National Average.  When then created new mailings, and are monitering for improvement.  Depending on what bereavement satisfaction survey you use, there may be something that stands out.

    Stephanie Eckhaus, LCSW
    Bereavement Coordinator
    Kaiser Hayward Hospice
    510-675-5792

    NOTICE TO RECIPIENT:  If you are not the intended recipient of this e-mail, you are prohibited from sharing, copying, or otherwise using or disclosing its contents.  If you have received this e-mail in error, please notify the sender immediately by reply e-mail and permanently delete this e-mail and any attachments without reading, forwarding or saving them.  Thank you.



    Original Message


  • 6.  RE: Quality Indicator for Grief Support

    Posted 01-12-2017 10:33 AM
    Hi Stephanie-

    May I ask what survey you were looking at that identified satisfaction with your mailing was below National Average?

    Thanks-
     Maribeth McKeever, LCSW-R
    Director of Bereavement Services
    Good Shepherd Hospice
    110 Bi-County Blvd., Suite 114
    Farmingdale, NY
    (631) 828-7628

    ------------------------------
    Thanks- Maribeth McKeever, LCSW-R Director of Bereavement Services Good Shepherd Hospice 110 Bi-County Blvd., Suite 114 Farmingdale, NY (631) 828-7628
    ------------------------------

    Original Message


  • 7.  RE: Quality Indicator for Grief Support

    Posted 08-04-2016 05:05 PM

    We underwent a major overhaul last year of our bereavement program – a huge quality improvement project that took about 1 ½ years to complete. Went over everything related to documentation with a fine tooth comb, how we track, (we are documenting electronically), how we document, levels of service, care programs, etc. As a result just about every process changed because we wanted to develop a system of sort of checks and balances so we can be sure we are more consistent in how each counselor documents as well as ensure that we are not omitting or missing things.

              So now the counselors are able to run reports to see  things like:

    1.   How many charts have forms that are left as a WIP (work in progress) ie they weren't yet signed off on?

    2.   Do charts that reflect frequent contacts, quarterly contacts or support group attendance have consents for service and NPP's sent?

    3.   If the form says the level of service was changed, was it?

    4.   If the form says another call is scheduled, is it?

    5.   Which charts have calls that were scheduled that did not take place?

    6.   Which charts had no follow (when they were supposed to) when the client is at a Frequent Contacts Level of Service?

    7.   Which charts are missing a bereavement referral?

    8.   Which charts are supposed to get mailings but are not?

    9.   Which clients were discharged but still have calls scheduled?

    10.               Which charts have been admitted to bereavement but were 'missed' and a bereavement counselor didn't call?

    11.               Does the plan of care 'match' the level of service?

     

    Perhaps if you audited a number of your charts you might find some errors like we did which might help you identify what processes need to change or improve…? That's what we

     

    Patti

     

    Patti Anewalt, PhD, LPC, FT

    Director of Pathways Center for Grief & Loss

    Hospice & Community Care

    Phone (717) 391-2413

    Direct (717) 717-391-2412

    Fax (717) 735-9667

    www.pathwaysthroughgrief.org

     

    For Online Grief Education and Support visit:

    https://www.research.net/r/Pathways-Center

     

    Steering Committee Member,

    National Council of Hospice & Palliative Care Professionals

    Member of the Board of Directors for the

    Association for Death Education and Counseling

     

     

    New Picture (3)

     

    New Picture (3)

     

    New Picture

     

    ADEC logo

    NAGC-Membership-Logo

    sigimg1@25059fb6088054e349fcf6e3e1c31985

     


    This message and any attachments are confidential and may be privileged. If you are not the intended recipient, please notify Hospice and Community Care by replying to this message or by sending an e-mail to info@hospicecommunity.org and destroy all copies of this message and any attachments. Thank you.



    Original Message